Cell components of Blood Flashcards

1
Q

What are the 4 body fluids?

A

Intracellular, interstitial, blood and lymph fluid

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2
Q

What are the components of the circulatory system?

A

Heart, blood vessels and blood

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3
Q

What is normal blood volume?

A

Approximately 5 litres, range of 4-6 Litres which is higher in males than females.

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4
Q

What is the meaning of hydraulic in relation to blood?

A

Blood is hydraulic because it is moved by water

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5
Q

What is the function of blood?

A

It is a transport medium for substances like hormones, gases and nutrients. It maintains ph at 7.35-7.45, regulates body temp and due to its hydraulic nature, maintains colloidal osmotic pressure.

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6
Q

What is osmotic pressure?

A

Minimum pressure required to prevent the inward movement of solution in a pure solvent such as water across a semipermeable membrane.

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7
Q

Which factors affect osmotic pressure?

A

Temperature and the conc of solutes (both osmolarity and osmolality)

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8
Q

What is osmolality?

A

Conc of solutes per kilogram.

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9
Q

What is osmolarity?

A

Conc of solutes per litre.

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10
Q

What is oncotic pressure?

A

Osmotic pressure exerted by colloids (large molecules) such as plasma proteins which induces reabsorption. It increases with greater solute number.

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11
Q

What is the composition of blood?

A

55% Liquid formed of Plasma
45% elements like RBC, WBC and platelets

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12
Q

What is the composition of plasma?

A

Majorly water with 7% formed of plasma proteins and 1% substances like electrolytes, nutrients and hormones.

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13
Q

What are the important plasma proteins?

A

Albumin and fibrinogen which are clotting factors. Plasma also contains antibodies.

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14
Q

What is serum?

A

Plasma in the absence of clotting factors.

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15
Q

Difference between serum and plasma?

A

Serum is the remaining liquid after blood has clotted. Plasma is the remaining liquid after we use an anticoagulant to prevent clotting. Therefore plasma contains clotting factors and antibodies.

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16
Q

What is the haematocrit test?

A

It is used to determine the proportion of RBC in the blood. Low RBC= anaemia. High RBC=polycythemia.

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17
Q

What is haematopoiesis?

A

Production of RBC, WBC and platelets in the bone marrow. RBC migrate into the blood and WBC migrate into the peripheral tissues and lymphoid organs.

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18
Q

What is a blood island?

A

Aggregates of cells in the yolk sac of the embryo which contain platelets, erythroblasts, lymphocytes and mesenchymal cells.

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19
Q

What is the site of haematopoiesis in the embryo?

A

Begins in blood islands in the yolk sac. It shifts to the liver, then spleen and lymph nodes. Post birth, bone marrow is the primary site.

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20
Q

What are the primary lymphoid organs?

A

Bone marrow and thymus which produce lymphocytes.

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21
Q

What are the secondary lymphoid organs?

A

Spleen, tonsils and lymph nodes which are involved in pathogen defence. They come into contact with antigens and contain both B and T lymphocytes.

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22
Q

What is the potency of a haematopoietic stem cell?

A

Pluripotent

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23
Q

What is TPO?

A

Thrombopoietin is a growth factor which stimulates formation of megakaryocytes to produce platelets. It also is involved in Myeloblast formation.

24
Q

What does GM-CSF stimulate?

A

Formation of Neutrophils, Monocytes, Eosinophils and Basophils

25
Q

What are lymphoid cells?

A

Cells which mediate production of immunity such as lymphocytes and plasma cells.

26
Q

What is the site of lymphoid cell maturation in humans?

A

It occurs in the primary lymphoid organs; the thymus and bone marrow

27
Q

What is a committed cell?

A

Decision by a cell to enter maturation lineage.

28
Q

What is erythropoiesis?

A

Process of RBC formation in the bone marrow from a haemopoietic stem cell. There are 4 stages:

Haemopoietic stem cell -> Committed proerythroblast -> early erythroblast -> late erythroblast -> normoblast -> reticulocyte -> erythrocyte

29
Q

What is phase 1 of erythropoiesis?

A

Early erythroblast -> late erythroblast
Ribosome synthesis

30
Q

What is phase 2 of erythropoiesis?

A

Late erythroblast -> Normoblast
Haemoglobin accumulation

31
Q

What is phase 3 of erythropoiesis?

A

Normoblast -> Reticulocyte

Nuclei is ejected to form a reticulocyte. Reticulocytes lose organelles and remodel the plasma membrane to become an erythrocyte.

32
Q

How does erythropoiesis occur?

A

Hypoxia is detected by kidney cells which release erythropoietin/EPO that binds to EPO-receptor on progenitor cells

33
Q

What is a progenitor cell?

A

A descendant of a stem cell.

34
Q

What is the structure of haemoglobin?

A

Multi-subunit of 4 polypeptide chains- 2 alpha and 2 beta which each are associated with a haem molecule. Haem contains a porphyrin ring with an iron cofactor.

35
Q

What gives RBC a red colour?

A

Presence of iron acting as a cofactor in the haem group.

36
Q

What is the role of haemoglobin?

A

Binds to O2 for transport around the body and CO2 for removal.

37
Q

What are the characteristics of erythrocytes?

A

They have a bioconcave shape for flexibility and optimise O2 transport. It has a lifespan of 120 days and cannot be repaired due to no nucleus and must be destroyed by spleen macrophages.

38
Q

What are the products of haemolysis?

A

Haemolysis occurs to destroy damaged or old red blood cells, in the spleen by macrophages. It produces haemoglobin which separates into iron and porphyrin ring.

39
Q

What is the role of transferrin?

A

Iron produced from haemolysis is transported by transferrin protein to the bone marrow to be recycled and incorporated into a haem group to form a RBC.

40
Q

How is porphyrin ring excreted from the body?

A

It is excreted as a bile pigment via the digestive tract as biliverdin or urinary tract as bilirubin.

41
Q

What are thrombocytes?

A

Platelets which induce haemastais via blood clotting and produce platelet-derived growth factors to aid in vasculature repair at the site of injury.

42
Q

What is thrombopoiesis?

A

It occurs in the bone marrow where release of TPO induces the formation of a megakaryocyte. A single megakaryocyte contains many platelet extensions which give rise to platelets.

43
Q

What are the stages of thrombopoiesis?

A

Megakaryoblast -> Promegakaryoblast -> Megakaryocyte -> Platelets

44
Q

Where are platelets stored?

A

In the spleen.

45
Q

What is the role of neutrophils?

A

Most common type of white blood cell with shorter life span. It is responsible for phagocytosis, degranulation to destroy pathogens and boosting immune response of lymphocytes and dendritic cells.

46
Q

What is the role of eosinophils?

A

Pathogen defence against helminths.

47
Q

What is the role of basophils?

A

Smallest proportion of WBC. Responsible for allergic response via degranulation.

48
Q

What is the role of monocytes?

A

Phagocytic cell which differentiates into macrophages for phagocytosis

49
Q

What is the characteristic of lymphocytes?

A

They have a lifespan of weeks to months and make up 20-40% of total WBC and responsible for the adaptive immune response

50
Q

How to distinguish between B and T lymphocytes?

A

Flow cytometry which identifies protein cell surface markers.

51
Q

What are the granulocytes?

A

Neutrophils, eosinophils and basophils.

52
Q

What are the agranulocytes?

A

Monocytes and lymphocytes.

53
Q

What are myeloproliferative disorders?

A

Diseases which affect the myeloid progenitors, RBC and platelets. This includes polycythaemia, thromobocythaemia and myelofibrosis.

54
Q

Cause of myeloproliferative disorders?

A

Mutation of JAK-2 gene.

55
Q

What are the different isoforms of haemoglobin?

A

Haemoglobin has different isoforms such as HbA2 and HBF which are normal variants. HbS is a variant which is an indicator of sickle cell disease.
HbE is haemoglobin disease where there is mild anaemia